复位床托快速复位法和经皮穿刺椎体成形术治疗胸腰椎压缩性骨折的临床疗效对比

目的 对自行研制的胸腰椎骨折复位床托与经皮穿刺椎体成形术治疗对腰椎压缩性骨折的临床疗效进行比较与探讨.方法 将60例胸腰椎压缩性骨折患者分为快速复位组30例和穿刺成形组30例两组.复位后分3个时段行X线照片,测量并计算其各项指标;并于治疗前后行症状评分.结果 资料取证以及统计学分析,快速复位组在治疗2周、4周时各项指标均低于穿刺成形组（P＜0.05）;快速复位组在治疗2周、4周时各项指标均优于穿刺成形组（P＜0.05）;快速复位组于治疗4周、12周时的功能活动的评价明显高于穿刺成形组（P＜0.01）.结论 复位床托快速复位法操作方法简单,操作过程安全可靠,能够有效地对临床症状、体征、脊柱的活动能力,并且能够满足不同年龄段的患者对本疗法的治疗需要.

A comparison of clinical effects of fast reduction method by reduction bed bracket and percutaneous vertebroplasty in the treatment of lumbar compression fractures

Objective To explore and compare the clinical effects of self-developed reduction bed bracket for thora- eolumbar fractures and percutaneous vertebroplasty in the treatment of lumbar compression fractures. Methods Sixty patients with thoracolumbar fractures were assigned to a group of fast reduction and a group of percutaneous vertebro- plasty, with 30 patients in each group. X-ray was carried out in three different periods of time after reduction, and each index was measured and calculated; symptom scores were obtained before and after the treatment. Results According to related data and statistical anaJysis, indices in the group of fast reduction in the second and fourth weeks of treatment were all lower than those in the groups of pereutaneous vertebroplasty （P 〈 0.05）; indices in the group of fast reduction in the second and fourth weeks of treatment were all better than those in the group of percutaneous vertebroplasty （P 〈 0.05）; the evaluation of functional activities in the group of fast reduction in the fourth and twelfth weeks of treatment was significantly higher than that in the group of percutaneous vertebroplasty （P 〈 0.01）. Conclusion The fast reduction method by reduction bed bracket has an easy operational method and a safe and reliable operational procedure, which effectively helps alleviate symptoms, improve physical signs and the activity of vertebral column, and satisfy the treat- ment demand for patients at different age levels.